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Billing
User Definable Parameters - include method of posting to General Ledger, Trust Fund
default information, Late Charge and Finance Charge parameters, and number of years to retain history
detail.
User Definable Payor Type Table - designates criteria such as Bill for Admit Date,
Discharge Date, Expired Date; Bill for Maximum Bed Hold Days; Bill Minimum Bed Hold Occupancy Percent;
Accounts Receivable General Ledger Account; Default Contractual Allowance Billing Code; Apply Income to
Against Total Charges (Medicaid); Pre-Bill charges; Pre-Bill Income; Pre-Bill posting method; PPS/MDS
filing schedule; and PPS Billing.
User Definable Statement Messages and Statement Late Messages based on number of
days past due.
User Definable Procedure/Revenue Codes - by Payor Type (i.e., Medicare A,
Medicare B, Medicaid) for printing on the UB92 and HCFA 1500 forms. Ability to designate Value Codes
as required.
User Definable Logs and Log Column Headings
User Definable Billing Codes - for use in recording patient charges in data entry.
This table includes the ability to define transaction descriptions, standard amounts, general ledger
accounts (by payor type, level of care, and/or unit type), statement summary method, maximum allowable
charge/count, contractual allowance method, co-insurance, procedure/revenue code, and HCPCS Rate Code.
Flexible Billing Rates for charges generated from census information. Rate
structure can be set up by any combination of payor type, level of care, and unit type. In addition,
rates may be designated as daily rate
Override Standard Rates for a Resident, using same format as standard rate table.
Recurring
Charges - defined for each Resident, qualified by payor type, level of care, and/or unit type, as
well as admission status. The recurring charges can be limited by Monthly or Lifetime Amount and/or
Count. A cumulative summary of amount and count is maintained by the system. This feature provides
for the flexible setup of standard charges, as well as the ability to set up free care days,
contractual discounts, etc. that are based on pre-defined contractual limits.
Generate Recurring Rate Increase selected by billing code and, optionally, payor
type.
Non-Resident Profiles for miscellaneous charges.
Transaction Entry, Transaction Register and Update to Accounts Receivable and
General Ledger.
Monthly Generated Billing Functions - include charges which are created by the
system from the census data and the rates and recurring charges tables.
Generate Pre-Billing for next month, with charges posting to General Ledger in
the future period only, or option to post as deferred revenue in the current period.
Finance/Late Charge Calculations, Register, and Update.
Retro-Adjustment Calculate, for specified date range. Allows for a
rate change by payor type or selected resident, or Payor Type Change for a Resident (i.e., Private Pay
to Medicaid), with all charges, contractual allowances, and general ledger adjustments calculated
as needed
Monthly Billing Registers by Resident, with summary by Billing Code and General Ledger
Distributions.
A/R Detail Register - showing Balance Forward, Current Month Detail, and Ending
Balance by Resident.
A/R Aged Balance Report - with options to print by Resident or Payor Type, and
options to select aging categories and/or balances over/under a designated amount.
Custom Billing Logs by Payor Type for Current Period and Year-to-Date
Statement Printing
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